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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700650
Report Date: 09/12/2025
Date Signed: 09/12/2025 03:43:17 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/29/2025 and conducted by Evaluator Angela Hood
COMPLAINT CONTROL NUMBER: 59-AS-20250129115903
FACILITY NAME:MERAKEY - PARKSFACILITY NUMBER:
342700650
ADMINISTRATOR:KYRIE S RICHARDSONFACILITY TYPE:
737
ADDRESS:3333 PARKS LANETELEPHONE:
(916) 609-2425
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:4CENSUS: 4DATE:
09/12/2025
UNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Burnell Harvin, LeadTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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-Staff posted a picture of resident on social media without resident's consent
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Lead, Burnell Harvin, to deliver complaint investigation findings regarding the above stated allegation.

During the course of the investigation, interviews were conducted and documentation pertinent to the investigation was obtained. Interview with Administrator indicated that, on January 30, 2025, the facility was informed that there were photos of residents (R3 and R4) posted on social media. Administrator indicated that staff (S1) was found to have posted the photos on social media and was placed on leave until they were terminated on March 26, 2025. LPA was provided social media images indicating that S1 was the account owner for the posts.

Based on observation of images and interview conducted, the preponderance of evidence standards have been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, deficiency is being cited on the attached 9099-D page.
Exit interview conducted. A copy of the report and appeal rights provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 59-AS-20250129115903
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: MERAKEY - PARKS
FACILITY NUMBER: 342700650
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/12/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/15/2025
Section Cited
CCR
80072(a)(1)
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80072 Personal Rights (a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following: (1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement is not met as evidenced by:
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Facility will conduct an in-service training for all staff regarding residents' personal rights. Facility will submit training information, including date of training and training material, to LPA by POC due date of 9/15/25.
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Based on observation of images and interview conducted, the facility did not ensure R3 and R4 were accorded dignity when S1 posted images of R3 and R4 on social media, which poses an immediate health, safety, and personal rights violation to the residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/29/2025 and conducted by Evaluator Angela Hood
COMPLAINT CONTROL NUMBER: 59-AS-20250129115903

FACILITY NAME:MERAKEY - PARKSFACILITY NUMBER:
342700650
ADMINISTRATOR:KYRIE S RICHARDSONFACILITY TYPE:
737
ADDRESS:3333 PARKS LANETELEPHONE:
(916) 609-2425
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:4CENSUS: 4DATE:
09/12/2025
UNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Burnell Harvin, LeadTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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-Staff purchases illegal drugs on facility grounds
-Resident was hit by another resident due to lack of supervision
-Resident sustained injury requiring stitches due to staff negligence
-Staff do not ensure that resident's toileting needs are being met
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Lead, Burnell Harvin, to deliver complaint investigation findings regarding the above stated allegations.

During the course of the investigation, interviews were conducted and documentation pertinent to the investigation was obtained.

Allegation: Staff purchases illegal drugs on facility grounds
Interviews with Administrator and staff (S1, S2, S3, S4, S5, and S6) indicated that they have never witnessed drugs being sold on the facility property. Staff interviews indicated that S1’s partner would come to the facility to bring them food. However, S1 would meet their partner outside the facility and their partner never went inside the facility.

***********************************************Continued on LIC9099-C*************************************************
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 59-AS-20250129115903
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: MERAKEY - PARKS
FACILITY NUMBER: 342700650
VISIT DATE: 09/12/2025
NARRATIVE
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Allegation: Resident was hit by another resident due to lack of supervision
Interview with the Administrator indicated that the facility does not have any incident reports involving peer aggression between residents (R2 and R1). Interviews with S2, S4 and staff (S7) indicated that they have never heard of or witnessed any incidents of R2 hitting R1. Staff are unaware of any incidents of peer aggression between R2 and R1.

Allegation: Resident sustained injury requiring stitches due to staff negligence
According to Special Incident Report and staff interviews, on March 27, 2024, S3 and S5 had taken resident (R3) on a van ride outing. S5 was driving and S3 was the passenger in the van, while R3 was sitting in the third row of the van. R3 lunged forward from the back seat striking S5 causing them to brake hard. R3 hit their head on the dash, due to S5 braking, and had minor bleeding to their forehead. R3 was blocking with the Ukeru pad so S3 was able to place their arm in between S5 and R3 prevented R3 from hitting S5 further. S5 was able to move the van to a safe location and contacted emergency medical services. R3 was transported to the hospital and returned home later that day with instructions for follow-up with their primary care provider. Interviews with staff indicated that R3 has exhibited this type of behavior in the past. Staff interviews also indicated that they do not believe that S5 would have purposely “brake checked” R3.

Allegation: Staff do not ensure that resident’s toileting needs are being met
Interview with the Administrator indicated that all clients use the restroom independently. Interviews with Administrator, S2, S4, and S7 indicated that there are no residents that are incontinent at the care home. Interviews with Administrator, S2, S4, and S7 indicated that R3 would never stay in soiled clothing. Interviews indicated that R3 is very clean and bathes often. Interviews indicated that R3 fixates on bathing and changing into clean clothing. Staff do not believe that R3 would stay in feces for an extended period of time.

Based on interviews conducted and documentation obtained, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED. No deficiencies are being cited.

Exit interview conducted. A copy of the report was provided.
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Angela Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4